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Short-term heart rate variability at rest in individuals with temporomandibular disorder: a comparative analysis

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Abstract

Objective

Compare heart rate variability (HRV) indices in participants with and without myogenic temporomandibular disorder (TMD). Secondarily, we correlated HRV indices with pain and quality of life variables.

Methods

This is a comparative observational cross-sectional study. Individuals of both genders with and without a history of TMD were included. Short-term heart rate variability was assessed using a Polar V800. Central sensitization was assessed using the Central Sensitization Inventory. Pain through the numeric pain scale and the impact of oral health on quality of life using the OHIP-14 questionnaire.

Results

A total of 80 participants were enrolled in the study: most individuals included in both groups were young adults, women and slightly overweight. We observed a decrease in HRV in the TMD group (p < 0.01) when compared to the control group. In addition, we observed a greater impact of oral health on quality of life, central sensitization in addition to high resting pain scores (p < 0.01). We observed significant correlation between the LF index of HRV and the FAI score (r = 0.311; p = 0.05). The NPS, CSI and OHIP-14 scores did not correlate with any of the HRV indices (p > 0.05).

Conclusion

The short-term HRV in individuals with TMD is significantly lower when compared to a control group. Furthermore, there seems to be a relationship between the severity of the dysfunction and the HRV variables.

Clinical relevance

Using portable and low-cost devices, the HRV can be easily collected and analyzed, without the need for an arsenal of equipment such as the conventional electrocardiogram. This measure can contribute to the therapy adopted and identify individuals prone to unfavorable outcomes involving ANS modulation.

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Data availability

The set of data generated and/or analyzed during the present study are available through the corresponding author upon reasonable request.

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Acknowledgements

The authors thank all the interviewed individuals for having agreed to participate in the research. They also thank Ceuma University and the Coordination for the Improvement of Higher Education Personnel (CAPES).

Funding

This study received no funding. However, there is a great contribution from the Coordination of Superior Level Staff Improvement (CAPES) in the maintenance of graduate programs in Brazil. The funding source does not have any involvement in the study design, collection, analysis, data interpretation, report writing, nor in the decision to submit this article for publication.

Author information

Authors and Affiliations

  1. Postgraduate Program in Dentistry, Universidade Ceuma, São Luís, MA, Brazil

    Rodrigo Costa Cutrim, Cyrene Piazera Silva Costa, Etevaldo Matos Maia Filho, Rudys Rodolfo De Jesus Tavarez & Daniela Bassi-Dibai

  2. Department of Physical Therapy, Postgraduate Program in Physiotherapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil

    Aldair Darlan Santos-de-Araújo, André Pontes-Silva & Cassius Iury Anselmo-e-Silva

  3. Postgraduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, MA, Brazil

    Jhonata Botelho Protazio, Janaina de Oliveira Brito Monzani & Almir Vieira Dibai-Filho

  4. Postgraduate Program in Management of Health Services and Programs, Universidade Ceuma, São Luís, MA, Brasil

    Cyrene Piazera Silva Costa, Lucivalda Viegas de Almeida & Daniela Bassi-Dibai

  5. Postgraduate Program of Environment, Ceuma University, São Luís, MA, Brazil

    Maria Cláudia Gonçalves & Daniela Bassi-Dibai

  6. Postgraduate Program in Adult Health, Universidade Federal Do Maranhão, São Luís, MA, Brazil

    Almir Vieira Dibai-Filho

  7. Physical Therapy Departament, Universidade Ceuma, Rua Josué Montello, 1, Jardim Renascença, São Luís, MA, Brazil

    Daniela Bassi-Dibai

Authors
  1. Rodrigo Costa Cutrim
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  2. Aldair Darlan Santos-de-Araújo
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  3. André Pontes-Silva
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  13. Daniela Bassi-Dibai
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Contributions

Study design: RCC, ADSDA, AVDF, DBD. Conceptualization: RCC, ADSDA, APS, CIAS, AVDF, DBD Methodology: RCC, ADSDA, DBD, AVDF, ADSDA. Data collection: RCC, DBD Data analysis and interpretation: RCC, ADSDA, APS, JBP, CIAS, CPSC, MCG, JOBM, LVA, EMMF, RRJT, AVDF, DBD. Initial manuscript writing: RCC, ADSDA, APS, JBP, CIAS, CPSC, MCG, JOBM, LVA, EMMF, RRJT, AVDF, DBD. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Daniela Bassi-Dibai.

Ethics declarations

Ethics approval

(This study was approved by the Ethics Committee on Research of Ceuma University (report n. 5.674.373).

Consent to participate

An informed consent was obtained from all the individuals included in the study.

Competing interests

The authors declare no competing interests.

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Highlights

1) This is the first study evaluating short-term HRV in subjects with TMD.

2) Individuals with TMD of myogenic origin have reduced HRV when compared to healthy individuals when assessed by short-term HRV.

3) This decrease in HRV does not correlate with pain intensity.

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Cutrim, R.C., Santos-de-Araújo, A.D., Pontes-Silva, A. et al. Short-term heart rate variability at rest in individuals with temporomandibular disorder: a comparative analysis. Clin Oral Invest 27, 6559–6566 (2023). https://doi.org/10.1007/s00784-023-05261-2

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  • DOI: https://doi.org/10.1007/s00784-023-05261-2

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